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Shern Jacqueline Willie

  • Female

Medical Specialty

Professional ID

  • NPI: 1548337900
  • PECOS ID: 8527167279
  • Enrollment ID: I20080215000435
  • Credential(MD, DO, DPM): MD
  • Medical School: Georgetown University Of Medicine
  • Medical School Graduation Year: 2003

Hospital Service

  • Hospital CCN1: 030103
  • Business Name (LBN)1: Mayo Clinic Hospital

Medical Practices

  • Organization Name: Mayo Clinic Arizona
  • Group Practice ID assigned by PECOS: 7012829930
  • Number of Group Practice member: 913

Location

  • Address1: 13400 E Shea Blvd
  • Address2:
  • City: Scottsdale
  • State: Arizona
  • Zip Code: 85259
  • Phone Number: (480)301-8000

Location

  • Address1: 5701 E Mayo Blvd
  • Address2:
  • City: Phoenix
  • State: Arizona
  • Zip Code: 85054
  • Phone Number: (480)342-4200

Location

  • Address1: 5777 E Mayo Blvd
  • Address2: Mayo Clinic Hospital
  • City: Phoenix
  • State: Arizona
  • Zip Code: 85054
  • Phone Number:

Location

  • Address1: 5779 E Mayo Blvd
  • Address2: Speciality Building
  • City: Phoenix
  • State: Arizona
  • Zip Code: 85054
  • Phone Number: (480)301-8000

Medicare

  • Medicare Assignment: Maybe
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):